PrimeRFP SCOUT · NAICS Intelligence
NAICS 621 — Ambulatory Health Care Services
NAICS 621111 — Physicians & Clinical Services
NAICS 621111 covers federal contracts for physician services, clinical examinations, disability evaluations, and direct medical care services. VA dominates this NAICS code, using it primarily for disability compensation examinations (C&P exams), community care referrals, and veteran health assessment contracts.
$12.6B
Total Obligated
1,351
Total Awards
$9.31M
Avg Award Value
May 2025 – Apr 2026
Data Period
Year-Over-Year Award Trend
| Year | Awards | Total Obligated |
|---|---|---|
| 2023 | 1,445 | $3.3B |
| 2024 | 1,374 | $6.1B |
| 2025 | 1,568 | $13.7B |
2026 data through March 2026 only. Source: PrimeRFP SCOUT · ≥$100K floor
Top Agencies by Obligation — NAICS 621111
| Agency | Awards | Total Obligated |
|---|---|---|
VADepartment of Veterans Affairs | 345 | $12.2B |
DoDDepartment of Defense | 305 | $216M |
HHSDepartment of Health and Human Services | 340 | $81M |
DHSDepartment of Homeland Security | 21 | $23M |
SSASocial Security Administration | 167 | $15M |
Top Awardees — NAICS 621111
Trailing 12 months · ≥$100K floor · Source: PrimeRFP SCOUT
| Rank | Awardee | Awards | Total Obligated |
|---|---|---|---|
| #1 | QTC Medical Services | 39 | $3.6B |
| #2 | OptumServe Health Services | 24 | $3.3B |
| #3 | Veterans Evaluation Services | 40 | $3.0B |
| #4 | Loyal Source Government Services | 12 | $2.1B |
| #5 | Logistics Health Inc. | 7 | $118M |
| #6 | Luke & Associates | 15 | $28.7M |
| #7 | Decypher Health Services | 13 | $26.7M |
See all awardees and filter by agency, set-aside, and date in SCOUT.
Access full data in SCOUT →SCOUT Market Insights
→VA accounts for ~97% of NAICS 621111 spending ($12.2B of $12.6B) — driven by the C&P exam program (disability compensation evaluations) and community care referrals.
→QTC ($3.6B), OptumServe ($3.3B), and Veterans Evaluation Services ($3.0B) together hold ~$10.0B of $12.6B (79%) — an unusually concentrated market dominated by firms purpose-built for VA disability-exam outsourcing.
→Strong multi-year growth: $3.3B in CY2023 → $6.1B in CY2024 → $13.7B in CY2025, driven by VA's disability-claims volume and Community Care Network expansion.
→DoD's 305 awards ($216M) cover MEPS physicals, TRICARE supplemental exams, and occupational health — a more distributed and accessible segment than VA's concentrated C&P market.
Frequently Asked Questions — NAICS 621111
What federal contracts fall under NAICS 621111?
NAICS 621111 covers physician and clinical services provided to the federal government — including VA disability compensation examinations (C&P exams), military entrance physicals (MEPS), TRICARE community care referrals, occupational health services, and medical screening programs. VA uses it as the primary NAICS for its contracted disability exam program.
How much does the federal government spend on NAICS 621111?
Federal agencies obligated approximately $12.6B under NAICS 621111 in the trailing 12 months (May 2025–Apr 2026) across 1,351 awards. VA is the dominant buyer at $12.2B (97% of total). Source: PrimeRFP SCOUT, obligations_only, ≥$100K floor.
Who are the main contractors for NAICS 621111?
The VA's C&P exam market is dominated by QTC Medical Services (Leidos subsidiary, $3.6B), OptumServe ($3.3B), and Veterans Evaluation Services ($3.0B). These firms operate nationwide exam networks under VA contracts. Together with Loyal Source Government Services, the top four firms hold roughly $12B of the $12.6B market.
Are there small business opportunities in NAICS 621111?
Small business opportunities exist primarily through DoD and HHS — MEPS physicals, occupational health BPAs, and HHS screening programs tend to be smaller, more regionally distributed contracts. VA's C&P exam contracts are full-and-open due to scale requirements, but subcontracting opportunities with the major prime awardees are significant.
SCOUT Intelligence
See the full NAICS 621111 pipeline
Filter recompetes by agency, set-aside type, incumbent, and contract end date. Set alerts for new awards.
View Recompete Pipeline →Register Free — Full SCOUT Access